Claims Management Services

Our comprehensive claims management service guarantees swift, accurate reimbursement for members and total confidence for our clients.

For our members: ongoing peace of mind

We understand how much it matters to know medical bills will be settled fast. By using our pre-authorisation service and with the support of our expert claims management team, our members can rely on efficient reimbursement every time they make a claim.

  • Direct claim settlements
  • Fast and simple to claim online
  • 90% of reimbursements to members processed in 5 days
  • 98% processing accuracy
  • Payments made in the plan currency, claim currency or another currency of the member’s choice at no additional cost
  • Multiple payment methods available, including cheque, wire draft and local bank draft.

 

For our corporate clients: end-to-end claims confidence

From the frequent, low-volume healthcare claims made by most members to highly complex claims for largescale medical emergencies, our claims management team guarantees accurate, efficient processing – while also delivering savings.

  • Direct settlement of medical costs with providers in the Generali network
  • Straightforward claims processes for providers outside the Generali network
  • 90% of payments to medical providers processed in 15 days
  • Claims reviews to ensure appropriate charges are billed for services used, including high-value claims, and to protect against fraud
  • Claims processing and adjudication to ensure claims are handled accurately and in line with policy terms and conditions
  • Claims cost containment, with discounted rates negotiated through the Corporate Medical Network and other leading networks, and through direct negotiations with providers.